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A mixed method study on suicidal behavior among people with bipolar disorder in Rwanda.

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Title: A mixed method study on suicidal behavior among people with bipolar disorder in Rwanda.
Authors: Bendtsen, Maja (AUTHOR), Umulisa Rurangwa, Nelly (AUTHOR), Juhl Arnbjerg, Caroline (AUTHOR), Musoni-Rwililiza, Emmanuel (AUTHOR), Glahder Lindberg, Laura (AUTHOR), Andreasson Aamund, Kate (AUTHOR), Kallestrup, Per (AUTHOR), Carlsson, Jessica (AUTHOR)
Source: Nordic Journal of Psychiatry. Aug2025, Vol. 79 Issue 6, p427-434. 8p.
Subjects: Suicidal behavior, Bipolar disorder, Mental health, Protective factors, Social stigma, Qualitative research, Disease prevalence
Geographic Terms: Rwanda
Abstract: Background: Three out of four individuals who complete suicide reside in low- and middle-income countries. More than half of them have an underlying mental health disorder. Of all mental health disorders, bipolar disorder has one of the highest occurrences of suicide. This study aims to assess the prevalence and experiences of suicidal behavior among outpatients with bipolar disorder in Rwanda and identify protective factors and potential interventions. Methods: This study uses a mixed methods design with quantitative data on the prevalence of suicidal behavior among people with bipolar disorder and qualitative in-depth interviews employing a phenomenological approach. Results: Among 131 outpatients with bipolar disorder, the prevalence of attempted suicide was 18.3%. Thirteen outpatients participated in qualitative interviews. We found that the mental pain of bipolar disorder triggered suicidal behavior, but that universal themes such as hardship and loneliness were also drivers for suicidal behavior. The stigmatization of both mental health disorders and suicide was found to influence suicidal behavior. Social support, religion, and mental health care services were described as protective factors against suicidal behavior. Conclusion: The prevalence of suicidal behavior was found to be remarkably lower than global estimates for people with bipolar disorder. This may be due to the strong communal support from religion and family, contrasting with more individualistic societies. The study highlights the need for the de-stigmatization of suicide and mental health disorders and the necessity of improved access to quality mental health care in Rwanda. [ABSTRACT FROM AUTHOR]
Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
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  Label: Title
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  Data: A mixed method study on suicidal behavior among people with bipolar disorder in Rwanda.
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  Data: <searchLink fieldCode="AR" term="%22Bendtsen%2C+Maja%22">Bendtsen, Maja</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Umulisa+Rurangwa%2C+Nelly%22">Umulisa Rurangwa, Nelly</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Juhl+Arnbjerg%2C+Caroline%22">Juhl Arnbjerg, Caroline</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Musoni-Rwililiza%2C+Emmanuel%22">Musoni-Rwililiza, Emmanuel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Glahder+Lindberg%2C+Laura%22">Glahder Lindberg, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andreasson+Aamund%2C+Kate%22">Andreasson Aamund, Kate</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kallestrup%2C+Per%22">Kallestrup, Per</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carlsson%2C+Jessica%22">Carlsson, Jessica</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Nordic+Journal+of+Psychiatry%22">Nordic Journal of Psychiatry</searchLink>. Aug2025, Vol. 79 Issue 6, p427-434. 8p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Suicidal+behavior%22">Suicidal behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Bipolar+disorder%22">Bipolar disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Protective+factors%22">Protective factors</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink>
– Name: SubjectGeographic
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  Data: <searchLink fieldCode="DE" term="%22Rwanda%22">Rwanda</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Three out of four individuals who complete suicide reside in low- and middle-income countries. More than half of them have an underlying mental health disorder. Of all mental health disorders, bipolar disorder has one of the highest occurrences of suicide. This study aims to assess the prevalence and experiences of suicidal behavior among outpatients with bipolar disorder in Rwanda and identify protective factors and potential interventions. Methods: This study uses a mixed methods design with quantitative data on the prevalence of suicidal behavior among people with bipolar disorder and qualitative in-depth interviews employing a phenomenological approach. Results: Among 131 outpatients with bipolar disorder, the prevalence of attempted suicide was 18.3%. Thirteen outpatients participated in qualitative interviews. We found that the mental pain of bipolar disorder triggered suicidal behavior, but that universal themes such as hardship and loneliness were also drivers for suicidal behavior. The stigmatization of both mental health disorders and suicide was found to influence suicidal behavior. Social support, religion, and mental health care services were described as protective factors against suicidal behavior. Conclusion: The prevalence of suicidal behavior was found to be remarkably lower than global estimates for people with bipolar disorder. This may be due to the strong communal support from religion and family, contrasting with more individualistic societies. The study highlights the need for the de-stigmatization of suicide and mental health disorders and the necessity of improved access to quality mental health care in Rwanda. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186989806
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        Value: 10.1080/08039488.2025.2511073
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 427
    Subjects:
      – SubjectFull: Suicidal behavior
        Type: general
      – SubjectFull: Bipolar disorder
        Type: general
      – SubjectFull: Mental health
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      – SubjectFull: Protective factors
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      – SubjectFull: Social stigma
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      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Disease prevalence
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      – SubjectFull: Rwanda
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              M: 08
              Text: Aug2025
              Type: published
              Y: 2025
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